Forms

Patient Forms

Click below to download and print our forms
If you are a new patient with us please contact your previous dentist and have your xrays and records sent or e-mailed to us prior to your dental appointment. Our e-mail is: garciadental@dentistincary.com

Each form will be launched into a new window. Please print, fill out and bring with you on your visit.

New Patients – print and complete all 3 documents
Click here for the Financial Policy PDF
Click here for the Medical History PDF
Click here for the New Patient Registration PDF

ALL PATIENTS – click here for the COVID-19 Screening Questionnaire

Privacy Act
Click here for the Privacy Act PDF (3-pages)

When you arrive for your appointment please text your name to (919)819-9992.